NPI | 1336446079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001404) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 000076) |
Enumeration Date | 2011-02-15 |
Last Update Date | 2011-02-15 |